Senior Medical Economist: Cost & Value Optimization

Devoted Health Services, Inc; Waltham (MA); In loco; USD 175.000 - 250.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health plan

Dental plan

Vision plan

Paid time off

Mobile stipend

Internet stipend

Stock options

Bonus eligibility

Commission eligibility

Parental leave

401K

Descrizione del lavoro

Devoted Health Services, Inc. is seeking a Medical Economist to lead strategic cost management for Commercial lines. You will design reimbursement architectures and model financial impacts, guiding IT and claims teams to ensure accurate adjudication of contracts.

You will analyze Total Medical Expense trends, translate findings into actionable recommendations, and partner with actuarial, finance, and clinical teams to optimize value-based care and cost performance.

Competenze

• 8+ years in healthcare economics or related finance roles.
• Deep knowledge of Commercial reimbursement and contract design.
• Proven ability to model financial impact of contracts.
• Strong SQL, Python, and data analytics skills.

Mansioni

• Lead strategic contracting and reimbursement architecture for Commercial networks.
• Model pre-contract scenarios for fee schedules and APMs.
• Oversee financial mechanics for value-based contracts and risk-sharing.
• Translate contract terms into technical specs with IT and claims teams.
• Provide executive-level summaries and insights on TME trends.

Conoscenze

Healthcare economics

Financial modeling

Contract analysis

Data analytics

Cross-functional leadership

Communication

Strumenti

SQL

Python

R

SAS

Descrizione del lavoro

Devoted Health Services, Inc. is seeking a Medical Economist to lead strategic cost management for Commercial lines. You will design reimbursement architectures and model financial impacts, guiding IT and claims teams to ensure accurate adjudication of contracts.

You will analyze Total Medical Expense trends, translate findings into actionable recommendations, and partner with actuarial, finance, and clinical teams to optimize value-based care and cost performance.